Usefulness of Middle Colic Artery Transposition Technique for Hepatic Arterial Reconstruction in Conversion Surgery for an Initially Unresectable, Locally Advanced Pancreatic Cancer

Ryuichi Yoshida, Takahito Yagi, Kazuya Yasui, Yuzo Umeda, Kazuhiro Yoshida, Tomokazu Fuji, Kosei Takagi, Kenjiro Kumano, Masashi Yoshimoto, Toshiyoshi Fujiwara

Research output: Contribution to journalArticlepeer-review

Abstract

The outcomes of pancreatectomy with resection and reconstruction of the involved arteries for locally advanced pancreatic cancer following chemotherapy have improved in recent years. In pancreatic head cancers in which there is contact with the common and proper hepatic arteries, margin-negative resection requires pancreaticoduodenectomy, with the resection of these arteries and the restoration of hepatic arterial flow. Here, we describe a middle colic artery transposition technique in hepatic arterial reconstruction during pancreatoduodenectomy for an initially unresectable locally advanced pancreatic cancer. This technique was effective and may provide a new option for hepatic artery reconstruction in such cases.

Original languageEnglish
Pages (from-to)543-548
Number of pages6
JournalActa medica Okayama
Volume75
Issue number4
Publication statusPublished - 2021

Keywords

  • hepatic artery
  • locally advanced pancreatic cancer
  • middle colic artery
  • pancreatoduodenectomy
  • reconstruction technique

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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